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What Causes Pain With Urination?

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Posted on Mon, 28 Apr 2014
Question: pain with urination, a lot of pain that feels like it could be higher in the vagina, it's a burning raw tissue rubbing together, pain in hips and legs, pain be for urination, during, after urination, and between. Could this be inter stichel (obviously I can't spell) cystitis or a UTI that is not showing anything bad yet. All ua spec. come out neg except for nitrites, blood, and lucs. My biggest concern is ca of breast. Was done with chemo and radiation two yrs ago.
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Answered by Dr. T Shobha Deepak (2 hours later)
Brief Answer: Cystoscopy is required for further evaluation Detailed Answer: Hi Welcome to Healthcare-Magic Greetings of the day Dear Ms From the description given its less likely to be interstitial Cystitis. Interstitial Cystitis reduces the bladder volume and is also associated with increased frequency of urination, urgency incontinence. Post menopause syndrome or associated Urinary tract infection is more likely. Declined oestrogen level causes dryness of vagina, which could result in burning sensation in the vagina and may also predispose to Urinary tract infection. As you have mentioned there is presence of nitrite and leukocyte which definitely point towards urinary tract infection. Blood being present indicates severe Cystitis. If the symptoms have not resolved with antibiotics and you still have symptoms sms urine shows urinary tract infection then you will require Cystoscopy for further Evaluation. I would suggest you to consult your Gynecologist and also Urologist for further management. Wishing you a very happy and healthy life. Do get back to me if you need any further assistance, will be glad to assist you. Take care Best Regards Dr T Shobha Deepak MBBS, MD
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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Dr. T Shobha Deepak

General & Family Physician

Practicing since :2005

Answered : 1774 Questions

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What Causes Pain With Urination?

Brief Answer: Cystoscopy is required for further evaluation Detailed Answer: Hi Welcome to Healthcare-Magic Greetings of the day Dear Ms From the description given its less likely to be interstitial Cystitis. Interstitial Cystitis reduces the bladder volume and is also associated with increased frequency of urination, urgency incontinence. Post menopause syndrome or associated Urinary tract infection is more likely. Declined oestrogen level causes dryness of vagina, which could result in burning sensation in the vagina and may also predispose to Urinary tract infection. As you have mentioned there is presence of nitrite and leukocyte which definitely point towards urinary tract infection. Blood being present indicates severe Cystitis. If the symptoms have not resolved with antibiotics and you still have symptoms sms urine shows urinary tract infection then you will require Cystoscopy for further Evaluation. I would suggest you to consult your Gynecologist and also Urologist for further management. Wishing you a very happy and healthy life. Do get back to me if you need any further assistance, will be glad to assist you. Take care Best Regards Dr T Shobha Deepak MBBS, MD